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General NPI Number Information
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NPI Number | 1053276212
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Entity Type | Individual
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Provider Name | TIFFANY CAPRI CHILDS
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 11900 BEACON AVE S
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City | SEATTLE
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State | WA
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Zip | 98178-2811
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Country | US
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Telephone | 206-772-6900
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Fax | 206-772-6900
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Provider Business Mailing Address
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Address Line | 14598 WESTMINSTER WAY N UNIT 110
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City | SHORELINE
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State | WA
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Zip | 98133-6457
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Country | US
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Telephone | 425-219-0592
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Fax | 425-219-0592
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO61488946
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License Number State | WA
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